The Relationship Between Acute Stress Disorder and Posttraumatic Stress Disorder in the Neonatal Intensive Care Unit

被引:206
作者
Shaw, Richard J. [1 ]
Bernard, Rebecca S.
DeBlois, Thomas
Ikuta, Linda M.
Ginzburg, Karni
Koopman, Cheryl
机构
[1] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94305 USA
关键词
PSYCHOMETRIC PROPERTIES; SYMPTOMS; INFANTS; MOTHERS; OAKLAND/BERKELEY; QUESTIONNAIRE; INTERVENTION; MANAGEMENT; INVENTORY; FIRESTORM;
D O I
10.1176/appi.psy.50.2.131
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Having an infant hospitalized in the neonatal intensive care unit (NICU) is a highly stressful event for parents. Researchers have proposed posttraumatic stress disorder (PTSD) as a model to explain the psychological reaction of parents to their NICU experience. Objective: The authors sought to examine the prevalence of PTSD in parents 4 months after the birth of their premature or sick infants and the relationship of PTSD and symptoms of acute stress disorder (ASD) immediately after their infant's birth. Method: Eighteen parents completed a self-report measure of ASD at baseline in addition to self-report measures of PTSD and depression at a 4-month follow-up assessment. Results: In the sample, 33% of fathers and 9% of mothers met criteria for PTSD. ASD symptoms were significantly correlated with both PTSD and depression. Fathers showed a more delayed onset in their PTSD symptoms, but, by 4 months, were at even greater risk than mothers. Discussion: The relatively high levels of psychological distress experienced by parents coupled with the potential negative outcomes on the parent and infant suggest that it is important to try to prepare parents for the expected psychological reactions that may occur in the event of a NICU hospitalization and also to support parents during the transition to home care. (Psychosomatics 2009; 50:131-137)
引用
收藏
页码:131 / 137
页数:7
相关论文
共 33 条
[1]  
Affeck G, 1991, CHILDRENS HLTH CARE, V20, P6
[2]  
AFFLECK G, 1989, CHILD DEV, V60, P488, DOI 10.1111/j.1467-8624.1989.tb02730.x
[3]  
Affleck G., 1991, INFANTS CRISIS PAREN
[4]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[5]   Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients [J].
Arnau, RC ;
Meagher, MW ;
Norris, MP ;
Bramson, R .
HEALTH PSYCHOLOGY, 2001, 20 (02) :112-119
[6]  
Balluffi Andrew, 2004, Pediatr Crit Care Med, V5, P547, DOI 10.1097/01.PCC.0000137354.19807.44
[7]  
Beck A. T., 1996, MANUAL BECK DEPRESSI, P115, DOI DOI 10.1037/T00742-000
[8]  
BREMNER JD, 1992, AM J PSYCHIAT, V149, P328
[9]   The influence of traumatic brain injury on acute stress disorder and post-traumatic stress disorder following motor vehicle accidents [J].
Bryant, RA ;
Harvey, AG .
BRAIN INJURY, 1999, 13 (01) :15-22
[10]   Psychometric properties of the stanford acute stress reaction questionnaire (SASRQ):: A valid and reliable measure of acute stress [J].
Cardeña, E ;
Koopman, C ;
Classen, C ;
Waelde, LC ;
Spiegel, D .
JOURNAL OF TRAUMATIC STRESS, 2000, 13 (04) :719-734